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Ischemic gastroparesis: resolution after revascularization.

S M Liberski1, K L Koch, R G Atnip

  • 1Department of Medicine, Pennsylvania State University, Hershey.

Gastroenterology
|July 1, 1990
PubMed
Summary
This summary is machine-generated.

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Chronic mesenteric ischemia can cause severe gastroparesis and gastric dysrhythmias. Surgical revascularization of mesenteric arteries effectively reversed these symptoms, restoring normal gastric function and weight in patients.

Area of Science:

  • Gastroenterology
  • Vascular Surgery
  • Medical Diagnostics

Background:

  • Chronic nausea, vomiting, and weight loss pose diagnostic challenges.
  • Idiopathic gastroparesis is often an unexplained finding in these patients.

Observation:

  • Two middle-aged women presented with severe nausea, vomiting, and significant weight loss.
  • Gastric emptying studies revealed severe gastroparesis; endoscopies ruled out obstruction.
  • Gastric dysrhythmias and mesenteric artery occlusion were identified via electrogastrography and arteriography.

Findings:

  • Chronic mesenteric ischemia was identified as the cause of gastroparesis and gastric dysrhythmias.
  • Mesenteric artery revascularization procedures were performed.
  • Post-surgery, patients experienced symptom resolution, weight regain, and restored gastric motility.

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Implications:

  • Chronic mesenteric ischemia represents a novel, reversible cause of gastroparesis.
  • Surgical intervention can effectively treat this condition.
  • This highlights the importance of considering vascular causes in unexplained gastrointestinal motility disorders.